Medicare hospice is a voluntary election that the resident would have to make an informed choice about. This is not something that the facility "puts them on"... If you are contracting with a hospice provider, there is a possibility that the attending could refer to the hospice MD for an eval and the resident/family could make that decision as to what is best for them. As for Part A, the coverage criteria do not change at the end of life, what are their skilled needs; you can use the alternative Medicare criteria but if the resident RUGS out at the lower 18 categories, you need to be able to articulate in very precise and frequent documentation why they are receiving skilled services. I have not run across anyone who has successfully done so but would be interested in anyone who has a success to report.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Wiedemann, Betty R Sent: Monday, April 12, 2004 2:43 PM To: List Server (E-mail) Subject: FW: medicare A vs hospice second try. or has everyone left for NJ? -----Original Message----- From: Wiedemann, Betty R Sent: Monday, April 12, 2004 12:39 PM To: Wiedemann, Betty R Subject: FW: medicare A vs hospice -----Original Message----- From: Wiedemann, Betty R [mailto:[EMAIL PROTECTED] Sent: Monday, April 12, 2004 10:10 AM To: List Server (E-mail) Subject: medicare A vs hospice With in the last month we have had 3 Rt return from acute care who have crashed. The MD feels there is no way they can survive. My question is.. if staff are providing skilled assesments for Pain management, DU's or emotional comfort for someone who will die soon, are we still able to keep on Medicare A. I see that "services that could qualify as skilled nursing (1) overall mangement of plan of care" would qualify. As well as (2) observation and assessment of the Rt changing condition" Am I on the right track? /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ STATEMENT OF CONFIDENTIALITY: The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C. immediately at either (617) 542-6000 or at [EMAIL PROTECTED], and destroy all copies of this message and any attachments. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
